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Womenʼs assessment ...
Womenʼs assessment of the quality of hospital-based perinatal care by mode of birth in Romania during the COVID-19 pandemic : Results from the IMAgiNE EURO study
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- Otelea, Marina Ruxandra (författare)
- Carol Davila University of Medicine and Pharmacy
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- Simionescu, Anca Angela (författare)
- Filantropia Clinical Hospital,Carol Davila University of Medicine and Pharmacy
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- Mariani, Ilaria (författare)
- Burlo Garofolo Pediatric Institute
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- Valente, Emanuelle Pessa (författare)
- Burlo Garofolo Pediatric Institute
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- Nanu, Michaela Iuliana (författare)
- National Institute for Mother and Child Health "Alessandrescu - Rusescu"
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- Nanu, Ioana (författare)
- National Institute for Mother and Child Health "Alessandrescu - Rusescu"
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- Handra, Claudia Mariana (författare)
- Carol Davila University of Medicine and Pharmacy
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- Covi, Benedetta (författare)
- Burlo Garofolo Pediatric Institute
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- Lazzerini, Marzia (författare)
- Burlo Garofolo Pediatric Institute
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- Linden, Karolina (creator_code:cre_t)
- Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Zaigham, Mehreen (creator_code:cre_t)
- Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine
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(creator_code:org_t)
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- 2022-12-18
- 2022
- Engelska 11 s.
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Ingår i: International Journal of Gynecology and Obstetrics. - : Wiley. - 0020-7292 .- 1879-3479. ; 159:S1, s. 126-136
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: To assess women's perceptions of the quality of maternal and newborn care (QMNC) received in hospitals in Romania during the COVID-19 pandemic by mode of birth. Methods: A validated anonymous online questionnaire based on WHO quality measures. Subgroup analysis of spontaneous vaginal birth (SVB), emergency cesarean, and elective cesarean and multivariate analyses were performed, and QMNC indexes were calculated. Maternal age, educational level, year of birth, mother born in Romania, parity, type of hospital, and type of professionals assisting the birth were used for multivariate analysis. Results: A total of 620 women completed the survey. Overall, several quality measures suggested gaps in QMNC in Romania, with the lowest QMNC indexes reported for provision of care and availability of resources. Women who had either elective or emergency cesarean compared with those who had SVB more frequently lacked early breastfeeding (OR 2.04 and 2.13, respectively), skin-to-skin contact (OR 1.73 and 1.75, respectively), rooming-in (OR 2.07 and 1.96, respectively), and exclusive breastfeeding at discharge (OR 2.27 and 1.64, respectively). Compared with elective cesarean, emergency cesarean had higher odds of ineffective communication by healthcare providers (OR 1.65), lack of involvement in choices (OR 1.58), insufficient emotional support (OR 2.07), and no privacy (OR 2.06). Compared with other modes of birth, a trend for lower QMNC indexes for emergency cesarean was observed for all domains, while for elective cesarean the QMNC index for provision of care was significantly lower. Conclusion: Quality indicators of perinatal care remain behind targets in Romania, with births by cesarean the most affected. ClinicalTrials.gov identifier: NCT04847336.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- breastfeeding
- cesarean
- childbirth
- COVID-19
- IMAgiNE EURO
- mode of birth
- quality of care
- Romania
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Otelea, Marina R ...
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Simionescu, Anca ...
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Mariani, Ilaria
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Valente, Emanuel ...
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Nanu, Michaela I ...
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Nanu, Ioana
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Handra, Claudia ...
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Covi, Benedetta
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Lazzerini, Marzi ...
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Linden, Karolina
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Zaigham, Mehreen
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